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Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 244054


Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
 
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
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Ask An Expert > Alexander Rivkin Message Board > Filler at base of nose?
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bluesky
Murfreesboro, TN
Filler at base of nose?
I had a rhinoplasty that I am not happy with. The angle under my nose has changed and the tip is lower. I was wondering if a filler can be injected under the base of the nose to lift it. If so what type of filler would be best?


AlexanderRivkinM.D.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
  June 16, 2010 12:05 PM

i would start with radiesse at the tip and also at the base of the nose. that should lift the tip just fine.
i would have to see pictures to be absolutely sure, of course.


FAMI_Founder
Plastic surgeon
Marbella, Spain
View My Professional Profile
Filler at base of the nose  June 22, 2010 4:43 AM

Sometime after a rhinoplasty the nasolabial angle stays uncorrected. If you want a permanent correction, you need injection of mesenchymal stem cells that can restore the cartilage missing in the collumella and or nasal tip.For a better analysis, please, send a photo.


drnassif
Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
  June 24, 2010 1:59 AM

Hello,

A filler will not typically help in this situation, and I do not like to use fillers for the purpose you are describing as there are too many risks associated. A surgical approach would yield the best result, and may enhance your profile considerably. Please feel free to send any photos to Lisa, my patient care coordinator at Lisa@spaldingplasticsurgery.com and I would be happy to evaluate them for you.
Thank you, and best of luck to you.

Dr. Nassif


drepstein
Plastic surgeon
Miami, FL
United States
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Rhinoplasty Revision  June 24, 2010 12:11 PM

Placing Perlane in the nasolabial angle (where the nose joins up with the upper lip) is one way to give the nose an appearance of more upward rotation. This is obviously a temporary solution. There are other more anatomical ways to correct this- one way is to surgically rotate up the tip through an inside of the nose approach. Another way, which can be coupled with the surgical upward rotation, is to place what is called a plumping graft, which is small pieces of septal or ear cartilage, into the nasolabial angle, which can quite effectively give the appearance of an upward rotated tip.


docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  June 26, 2010 11:20 AM

Worth a try. I would use a very temporary filler, Restylane or Juvederm, first to see if you like the appearance. If yes than a more semi permanent filler like Radeisse or Artefill, silicone or even stem cell treated dermal fat graft.A photo would have been very helpful. from MIAMI Dr. B


jhonnys
Plastic surgeon
Coral Gables, FL
United States
View My Professional Profile
Restylane - fillers work great for the nose  September 12, 2013 11:31 PM

Yes fillers work great for the nose we recommend Restylane. It should last about one year.

http://www.drjsalomon.com/restylane.asp




 



 

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